Average Medicaid Office Visit Payments in South Weymouth, MA: $68.14
Avg. Paid
$68.14
Range
$10.70 – $167.80
Total Claims
46,024
Providers
65
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in South Weymouth, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aboualkheir Alzaim
540 Main St |
$49.85 | 9,649 | 5,299 |
|
South Shore Hospital Inc.
55 Fogg Road |
$167.80 | 8,488 | 6,784 |
|
Reve Purisima Shields
101 Columbian St |
$47.60 | 5,819 | 5,333 |
|
Oluranti A Adepoju
33 Union St Ste 317 |
$36.75 | 3,041 | 2,815 |
|
An K Phan
541 Main St Ste 400 |
$35.18 | 2,944 | 2,731 |
|
Mario L Dominguez
1690 Main St |
$57.36 | 1,991 | 1,885 |
|
Paul Steven Blachman
851 Main St |
$39.68 | 1,599 | 1,589 |
|
Jennifer Gray
541 Main St Ste 317 |
$56.08 | 1,065 | 1,010 |
|
Patricia I Tai
549 Columbian St |
$58.93 | 1,059 | 1,017 |
|
Jonathan Peter Nass
1085 Main St |
$48.75 | 964 | 952 |
|
Thomas Francis Walsh
55 Fogg Rd |
$56.37 | 777 | 764 |
|
Natalya S Davis
55 Fogg Rd |
$41.02 | 776 | 754 |
|
Isabelle Zamfirescu
541 Main St |
$30.97 | 690 | 683 |
|
James Harris Stephen
851 Main St Ste 6 |
$87.39 | 629 | 591 |
|
John Wolfert
541 Main St |
$25.47 | 624 | 618 |
|
Laura S. Selkirk
541 Main St |
$29.83 | 547 | 543 |
|
Elvis Joel Aponte-Rivera
541 Main St Ste 400 |
$55.02 | 542 | 505 |
|
Viduri Parekh
541 Main St |
$34.69 | 416 | 402 |
|
Naomi Rounds
851 Main St |
$31.75 | 335 | 320 |
|
Carissa C Rand
541 Main St |
$27.41 | 316 | 313 |
|
Joshua M Arkin
70 Pleasant St |
$52.20 | 307 | 304 |
|
Margaret Ann Vallen Mashikian
851 Main St |
$49.15 | 272 | 268 |
|
Rajinder S Chawla
851 Main St |
$15.63 | 262 | 260 |
|
Young Han Kim
780 Main St |
$36.51 | 243 | 238 |
|
Mary Catherine Gustilo
541 Main St |
$26.39 | 213 | 207 |
|
Gerald B Katz
549 Columbian St |
$58.57 | 177 | 167 |
|
Deepanwita Prusty
544 Main St Lowr Level |
$59.97 | 166 | 157 |
|
Jeffrey P Bennett
780 Main St |
$21.66 | 160 | 157 |
|
Farah Malary
541 Main St |
$13.37 | 156 | 146 |
|
Paula Jeanne Kue
541 Main St Ste 400 |
$29.48 | 141 | 136 |
|
Pranitha Reddy
70 Pleasant St |
$46.48 | 134 | 131 |
|
Stephen P Tarpy
541 Main St Ste 314 |
$19.90 | 117 | 117 |
|
Shaheen Andreas
55 Fogg Rd |
$54.77 | 109 | 99 |
|
Shail Maingi
101 Columbian St |
$82.55 | 103 | 65 |
|
Johvonne Michelle Claybourne
541 Main St 414 |
$43.52 | 93 | 93 |
|
Mark A Mullins
55 Fogg Rd |
$45.05 | 87 | 87 |
|
Jeanne M. Colton
541 Main St |
$13.69 | 85 | 82 |
|
Iraj Aghdasi
851 Main St |
$58.51 | 82 | 73 |
|
Steven F Starr
780 Main St, Ste. 2C |
$27.16 | 75 | 75 |
|
Marc P. Mansour
541 Main St |
$33.10 | 70 | 68 |
|
Mary L. Delaney
541 Main St |
$31.72 | 63 | 62 |
|
Shane Thomas Reilly
55 Fogg Rd |
$53.62 | 57 | 55 |
|
Wendy Johnson
70 Pleasant St |
$45.66 | 56 | 54 |
|
Adam Jacob Zucker
541 Main St 400 |
$28.53 | 54 | 54 |
|
Sarah M Sciascia
541 Main St |
$49.88 | 52 | 50 |
|
Anthony D. Marks
541 Main St |
$10.70 | 37 | 37 |
|
Karen E O'Brien
55 Fogg Rd |
$19.19 | 35 | 27 |
|
Paul J. Schubert
541 Main St |
$21.26 | 31 | 28 |
|
Kittika Mayall
541 Main St Ste 400 |
$27.13 | 27 | 26 |
|
Bradford C Sampson
1085 Main St |
$37.95 | 27 | 27 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in South Weymouth, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Weymouth, MA is $68.14 per claim, based on 46,024 claims from 65 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in South Weymouth, MA?
There are 65 Medicaid providers offering Office Visit related services in South Weymouth, MA according to public payment data.
What is the price range for Office Visit in South Weymouth, MA?
Medicaid reimbursement for Office Visit in South Weymouth, MA ranges from $10.70 to $167.80 per claim, with an average of $68.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in South Weymouth, MA
Blood Work & Lab Tests
Avg $7.63
264,864 claims
Emergency Room Visit
Avg $176.93
113,403 claims
EKG / ECG (Electrocardiogram)
Avg $4.30
72,994 claims
X-Ray
Avg $7.76
70,646 claims
Ambulance Transport
Avg $114.73
51,221 claims
CT Scan (Computed Tomography)
Avg $86.89
46,363 claims
Urinalysis & Urine Tests
Avg $3.47
44,646 claims
Physical Therapy
Avg $78.47
25,143 claims